Nmc_header
Home Home | NovaMind Home | Heart_white Friends | Mail_white 0 New Messages | Person_white Profile | ? Help
Login | Sign Up
Search:  Signup to RSS feed
 Subscribe
Share/Save/Bookmark

childhood dysarthria: direct treatment

Childhood dysarthria direct treatment>

Mind Map branch: childhood dysarthria: direct treatment childhood dysarthria: direct treatment whole system approach intervention targets: multiple speech subsystems breathing Nasal resonance Articulation Pitch control examples of aims breathing control maintain pressure across utterance teach: start speaking at start of exhalation split utterances into smaller phrases maintain slow speech rate rationale: allow oral muscle movement precision Strand/Yorkston respiratory effort jaw movement in speech oral cavity size speech/non speech exercises practice closing nasal airway during speech Evidence? Yorkston 1996 Not systematic other therapy approaches treatment packages Oral mm.  www.promptinstitute.com PROMPT combination tactile stimulation cueing "fiddling about" periphery TalkTools originator S.Rosenfeld-Johnson rationale assumption: strong sucking/blowing Speech format hierarchies: bubble blowing Horn blowing straw drinking controversy parental demand M.O.R.E RATIONALE sensory integration therapy Ayres 1972 focus synchrony suck Swallow Breath NOT AIMED AT DYSARTHRIA Myofunctional Therapy USA aims correction: malocclusion Lisps format OM exercises Oro-motor approaches... summary assume vegetative functions Speech theoretical basis unclear approach mix stimulation cueing evidence zero LOOK PRETTY! physiological approaches alternative physical approaches Hydrotherapy Riding Alexander technique proprioceptive neuromuscular facilitation format oropharyngeal reflexology aim disadvantages congenital disorders effectiveness ? dangerous adult approach oral facial stimulation disadvantages impact temporary advantages hypersensitivity (null) (null) Facial Oral Tract Therapy approach physical contact/manipulation facilitate normal movement patterns "speech precursors" teeth cleaning drinking eating Base www.arcos.org.uk Coombes Neuro-development Theory

Branch Note:

the Pennington Miller and Robson Cochrane review is still at the proto-coalstage

Attached text:

Treatment targeting articulation is only advised when other aspects of speech production have or are being addressed.
(Pennington, Miller, Robson, 2008 Cochcrane review)

Attached text:

"production of speech sounds (which is the most common perceptual characteristic of dysarthria) is not simply an oral articulatory problem, and is usually the result of laryngeal, velopharyngeal, respiratory and oral articulatory problems" (Strand 1995)

Map Branches

Comments

►0 map comments of 0 total for this map